2025-06-25T12:13:33-05:00 2024-12-31 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2024-01-01 020325847 Salemhaven Inc SALE 6038935586 23 Geremonty Drive Salem NH 03079 Charles Crush Administrator 6038935586 2025-06-24 1 1 Melissa Magoon CPA P01712842 2077752387 2025-06-24 2024 2025-03-06 01:10:19Z Charles Crush 23 Geremonty Drive Salem NH 03079 14069878 0 X salemhaven.com X 1977 NH Healthcare services for the elderly 11 11 187 11 0 0 4904 54335 11985909 13904607 28160 19238 52025 88148 12070998 14066328 0 0 0 0 7198323 9351116 0 0 0 7381794 5036175 14580117 14387291 -2509119 -320963 6261617 6148933 5265611 5473890 996006 675043 X In February, 1972, a group of Salem, NH residents founded the organization with the goal of developing a facility to provide health care and related services for the community's elderly population. 0 0 12898763 13904607 The Salemhaven complex provides comprehensive healthcare services, resources and accommodations (110 bed facility) for senior citizens, including the operation of a medical day care service. Salemhaven services include providing long term care, rehabilitation including PT, OT Speech, social services for residents and families, meeting of Spiritual needs, activities, supporting many local charities and community services, hospice services and respite care. We employ over 150 workers from the local area, we subsidized Medicaid over 1 million dollars annually, and we are a participant in the local and state emergency planning programs.Silverthorne Adult Medical Day Center provides to participants: Health care monitoring, Social services, Therapeutic and recreational activities, Health Care Education to participants, families and the community. We also provide respite care for caregivers and a Caregiver Support Group monthly for families and community members. 12898763 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 46 0 1 187 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 0 0 NH X Charles Crush 6038935586 23 Geremonty Drive Salem NH 03079 Michael Carney Jr Board Co-President 1.00 X X 0 0 0 Frank Monteiro Board Co-President 1.00 X X 0 0 0 Richard Shahtanian Board Vice President 1.00 X X 0 0 0 Michael Collins Board Treasurer 1.00 X X 0 0 0 Kevin Breen Board Secretary 1.00 X X 0 0 0 Greg Brown Board Member 1.00 X 0 0 0 Phillip Cammarata Board Member 1.00 X 0 0 0 Donna Harris Board Member 1.00 X 0 0 0 Jamie Santo Board Member 1.00 X 0 0 0 Brendan Slein Board Member 1.00 X 0 0 0 Robert Slein Board Member 1.00 X 0 0 0 Beverly Collins Past Board Member 1.00 X 0 0 0 Charles Crush Administrator 40.00 X 79287 0 18258 Andrea Sherwin Past Administrator 40.00 X 58336 0 647 Shakur Miro LPN Certified 40.00 X 143742 0 9898 Carolyn Farhadian Director of Nurses 40.00 X 129743 0 24968 Stephanie Gelerdes MDS Clinical Reimb 40.00 X 125455 0 10182 Cheryl Northam Registered Nurse 40.00 X 124676 0 0 Kim Elliott RN/Unit Manager 40.00 X 120862 0 10182 782101 0 74135 11 0 1 1 Genesys Eldercare dba Powerback PO Box 821322 Philadelphia PA 191821322 PT, OT, ST 530297 Hampstead Nursing Services 10 Bricketts Mill Road Hampstead NH 03841 Staffing Agency 296866 Pharmerica PO Box 409251 Atlanta GA 30384 Pharmacy Svcs 296482 Covenant Health 172 Kinsley Street Nashua NH 03060 Management Co. 287120 Michael Estiverne dba Mecare 1087 Elm Street Suite 229 Manchester NH 03101 Staffing Agency 169953 5 54335 54335 Net Long-Term Care Services 623000 13231077 13231077 Adult Daycare Services 623000 594095 594095 Miscellaneous Income 623000 79175 79175 Guest Meals 623000 260 260 13904607 19238 19238 91698 3550 88148 88148 14066328 13904607 0 107386 156526 156526 7728660 7163158 565502 66000 61171 4829 825777 765355 60422 574153 532143 42010 148069 148069 31512 31512 66912 1284 65628 1413897 1294555 119342 29979 29979 196241 147486 48755 126658 5333 121325 344422 308933 35489 4015 3627 388 258848 248327 10521 421537 405651 15886 204536 187050 17486 Food/Drug/Med. Supplies 1064953 1064953 NH Quality Assessment 702211 702211 Miscellaneous 22385 7526 14859 14387291 12898763 1488528 0 550 550 1463661 1082760 1340918 1937113 104347 73165 108781 172330 12030256 9391390 3011088 2638866 232272 244149 6261617 6148933 1974353 1852928 4858 14006 3286400 3606956 5265611 5473890 X 996006 675043 996006 675043 6261617 6148933 -320963 0 X 0 1 X 1 0 X 3100034 216733 62662 4904 54335 3438668 11417611 12122205 10838706 11985909 13904607 60269038 14517645 12338938 10901368 11990813 13958942 63707706 0 100290 99285 104684 95042 399301 100290 99285 104684 95042 399301 63308405 77051 65381 22628 28160 19238 212458 51374 63640 115014 128425 129021 22628 28160 19238 327472 107016 52025 88148 247189 14646070 12467959 11031012 12070998 14066328 64282367 0.98480 0.98300 0.00510 0.00750 X 0 0 0 0 0 0 0 0 1 1917 1917 0 Form 990, Schedule C, Part II-B, Line 1i Lobbying portion of NHHCA Dues 15%. 0 1 X 41189 41189 10124328 7751694 2372634 1591741 1424424 167317 272998 215272 57726 2638866 14069878 3550 3550 14066328 0 14066328 14390841 3550 3550 14387291 0 14387291 Part IV, Line 2b: The Organization holds funds for residents and provides these funds to the resident, as needed, for various common expenses. Part XI, Line 2d - Other Adjustments: Gaming Expense 3,550. Part XII, Line 2d - Other Adjustments: Gaming Expense 3,550. 91698 3550 0 91698 3550 3550 88148 NH 1 0 1 0 1.00000 Charles Crush 23 Geremonty Drive Salem NH 03079 1 91698 3500 Chasers Poker 7 Veterans Memorial Parkway Salem NH 03079 Charles Crush Charles Crush is an Officer of Salemhaven and the amount of compensation related to gaming activities is indeterminable. X 0 Schedule G, Part III, Line 15a: Salemhaven participates in State of NH charitable donations from gaming halls. Salemhaven annually fills out a State application to participate with Chasers Poker Hall. Per State of NH rules Chasers provides Salemhaven, Inc. a percentage of revenue from Chasers Poker's games of chance proceeds of a particular day. Charities may have up to 10 days per year where they partner with a gaming hall. Salemhaven, Inc. nor any of its employees are ever directly involved in administrating any of the games of chance. Salemhaven is charged a state approved room fee by Chasers of $500 a day for each day Salemhaven is the benefiting charity X X X 1 0 0 0 0 0 0 1 0 Carolyn Farhadian Director of Nurses 129102 0 563 0 78 0 3704 0 21264 0 154711 0 0 0 Shakur Miro LPN Certified 133446 0 10275 0 21 0 0 0 9898 0 153640 0 0 0 Charles Crush Administrator 79287 0 0 0 0 0 533 0 17725 0 97545 0 0 0 Andrea Sherwin Past Administrator 23873 0 0 0 34463 0 483 0 164 0 58983 0 0 0 Part I, Line 4a Andrea Sherwin, Past Administrator, received $34,463 of severance. Part I, Line 7 All bonuses were determinded by the board of directors. All staff were given bonuses. Form 990, Part VII, Section A, Line 5: Salemhaven, Inc. paid Covenant Health Systems, Inc., and unrelated organization, for Andrea Sherwin and Charles Crush's services as Administrator. Form 990, Part VI, Section A, line 2 Board members Robert Slein and Brendan Slein have a family relationship. Form 990, Part VI, Section A, line 3 The Organization contracts with Covenant Health Systems, Inc. to provide management and administrator services for the nursing facility. Form 990, Part VI, Section B, line 11b The 990 is sent to all board members and reviewed at a board meeting. If necessary, the auditors that prepared the 990 are requested to give a presentation. Form 990, Part VI, Section B, line 12c Board members fill out a disclosure form and are given a policy regarding disclosure and conflicts of interest. The administrator and business office monitor for potential conflicts and then report findings to the board of directors. Part of the annual financial audit is a review of potential conflicts and findings that are reported to the board. Form 990, Part VI, Section B, line 15a Salemhaven pulls demographic reports and surveys for the Board to review and decide on compensation for the Administrator. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Salemhaven, Inc. 23 Geremonty, Salem, NH 03079 EIN 02-0325847 Salemhaven, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).